Effect of postconditioning and atorvastatin in preventing remote intestinal reperfusion injury

Journal of Coloproctology - Tập 37 - Trang 301-305 - 2017
Carlos Henrique Marques dos Santos1, Doroty Mesquita Dourado1, Trícia Luna Sampaio1, Letícia do Espirito Santo Dias1, Murillo Henrique Martins de Almeida1, João Victor Durães Gomes Oliva1, Ian de Oliveira Chaves1, Henrique Budib Dorsa Pontes2
1Universidade Anhanguera-Uniderp, Campo Grande, MS, Brazil
2Universidade Anhanguera (UNIDERP), Campo Grande, MS, Brazil

Tóm tắt

Abstract Objective To evaluate the capacity of ischemic postconditioning and atorvastatin in prevent or minimize reperfusion injury in small bowel of rats subjected to ischemia and reperfusion by abdominal aorta clamping. Methods 41 Wistar norvegic rats were distributed into 5 groups: ischemia and reperfusion, ischemic postconditioning, postconditioning + statin, statin and Sham. After anesthesia, laparotomy and dissection of the infra-renal abdominal aorta were performed; except the Sham group, all others were subjected to aorta clamping for 70 min (ischemia) and withdrawal of clamp for 70 min (reperfusion). In the IPC and IPC + S groups, four cycles of postconditioning were performed between the phases of ischemia and reperfusion lasting 30 s each. In IPC + S and S groups, 3.4 mg/day of atorvastatin was given for seven days per gavage; 1 cm of the ileum were removed for histological study and the results were subjected to statistical treatment considering significant p < 0.05. Results The average of intestinal lesion was 2 in the I/R group, 0.66 in the IPC group, 0 in the IPC + S group, 0 in the S group, and 0 in the SHAM group. Conclusion The ischemic postconditioning and atorvastatin were capable of minimizing intestinal reperfusion injury, either alone or in combination.

Tài liệu tham khảo

Hausenloy, 2008, Preconditioning and postconditioning: new strategies for cardioprotection, Diabetes Obes Metab, 10, 451, 10.1111/j.1463-1326.2007.00762.x Sotoudeh, 2012, Effect of N-acetylcysteine on lung injury induced by skeletal muscle ischemia-reperfusion: histopathological study in rat model, Acta Cir Bras, 27, 168, 10.1590/S0102-86502012000200012 Gelman, 1995, The pathophysiology of aortic cross-clamping and unclamping, Anesthesiology, 82, 1026, 10.1097/00000542-199504000-00027 Caty, 1990, Evidence for tumor necrosis factor-induced pulmonary microvascular injury after intestinal ischemia–reperfusion injury, Ann Surg, 212, 694, 10.1097/00000658-199012000-00007 Santos, 2015, Evaluation of pulmonary reperfusion injury in rats undergoing mesenteric ischemia and reperfusion and protective effect of postconditioning on this process, Braz J Cardiovasc Surg, 30, 533 Dorsa, 2015, Effect of remote ischemic postconditioning in inflammatory changes of the lung parenchyma of rats submitted to ischemia and reperfusion, Braz J Cardiovasc Surg, 30, 353 Turóczi, 2015, Improvement of small intestinal microcirculation by postconditioning after lower limb ischemia, Microvasc Res, 98, 119, 10.1016/j.mvr.2015.02.001 Bian, 2015, Atorvastatin protects myocardium against ischemia–reperfusion arrhythmia by increasing Connexin 43 expression: a rat model, Eur J Pharmacol, 768, 13, 10.1016/j.ejphar.2015.09.023 Chiu, 1970, Intestinal mucosal lesion in low-flow states, Am J Surg Arch, 101, 478, 10.1001/archsurg.1970.01340280030009 Jivraj, 2015, Ischaemic postconditioning: cardiac protection after the event, Anaesthesia, 70, 598, 10.1111/anae.12974 Yang, 2016, Local and remote postconditioning decrease intestinal injury in a rabbit ischemia/reperfusion model, Gastroenterol Res Pract, 2016, 2604032, 10.1155/2016/2604032 Santos, 2008, Tratamento da isquemia mesentérica pelo pós-condicionamento isquêmico, Rev Bras Coloproct, 28, 187, 10.1590/S0101-98802008000200006 Wu, 2014, Atorvastatin treatment attenuates renal injury in an experimental model of ischemia–reperfusion in rats, BMC Nephrol, 15, 14, 10.1186/1471-2369-15-14 Cusumano, 2015, N-acetylcysteine and high-dose atorvastatin reduce oxidative stress in an ischemia–reperfusion model in the rat kidney, Transplant Proc, 47, 2757, 10.1016/j.transproceed.2015.09.035 Kisvári, 2015, The activation of PI 3-kinase/Akt pathway is involved in the acute effects of simvastatin against ischaemia and reperfusion-induced arrhythmias in anaesthetised dogs, Eur J Pharmacol, 769, 185, 10.1016/j.ejphar.2015.11.016 Han, 2015, Simvastatin protects the heart against ischemia reperfusion injury via inhibiting HMGB1 expression through PI3K/Akt signal pathways, Int J Cardiol, 201, 568, 10.1016/j.ijcard.2015.08.180 Kelle, 2015, The combined effect of rosuvastatin and ischemic pre- or post-conditioning on myocardial ischemia–reperfusion injury in rat heart, Eur Rev Med Pharmacol Sci, 19, 2468 Fang, 2015, Neuroprotective effects and dynamic expressions of MMP9 and TIMP1 associated with atorvastatin pretreatment in ischemia–reperfusion rats, Neurosci Lett, 603, 60, 10.1016/j.neulet.2015.07.013 Kocak, 2015, Protective effects of simvastatin administered in the experimental hepatic ischemia–reperfusion injury rat model, J Surg Res, 199, 393, 10.1016/j.jss.2015.06.009 Matsuo, 2015, Single-dose rosuvastatin ameliorates lung ischemia–reperfusion injury via upregulation of endothelial nitric oxide synthase and inhibition of macrophage infiltration in rats with pulmonary hypertension, J Thorac Cardiovasc Surg, 149, 902, 10.1016/j.jtcvs.2014.10.030